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General NPI Number Information
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NPI Number | 1770970659
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Entity Type | Individual
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Provider Name | ALISHA PAAL DDS
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Gender | Female
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Dates
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Enumeration Date | 04/18/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 201 E HURON ST GALTER 2-246
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City | CHICAGO
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State | IL
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Zip | 60611-3197
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Country | US
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Telephone | 312-926-4045
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Fax |
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Provider Business Mailing Address
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Address Line | 1952 KNOLL CT
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City | TROY
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State | MI
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Zip | 48098-4345
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Country | US
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Telephone | 248-225-5187
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 319019566019030343
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License Number State | IL
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